Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Wimberly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407237316

Bethany Wimberly is a Family Practice in Grand Prairie, Texas. Qualified in 2015, 11 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3095 Kingswood Blvd Ste 250
Grand Prairie, TX 75052
Phone: (972) 817-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 900 8th Ave, Fort Worth, TX 76104-3902 — (817) 877-5292
  • 900 8th Ave, Fort Worth, TX 76104-3902 — (817) 877-5292
  • 5941 Riverbend Pl, Fort Worth, TX 76112-1063 — (254) 709-2704

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R6940 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407237316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052-4502

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Prairie